Healthcare Provider Details

I. General information

NPI: 1770708190
Provider Name (Legal Business Name): J. H. KIM, M.D.,LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 ENCLAVE DR
NEW CASTLE PA
16105-3207
US

IV. Provider business mailing address

177 ENCLAVE DR
NEW CASTLE PA
16105-3207
US

V. Phone/Fax

Practice location:
  • Phone: 724-658-5523
  • Fax: 724-658-8039
Mailing address:
  • Phone: 724-658-5523
  • Fax: 724-658-8039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAK000400L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberMD036380L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JE HONG KIM
Title or Position: PRESIDENT
Credential: M.D.
Phone: 724-658-5523